机器人辅助腹腔镜下移植肾集合系统-自体输尿管吻合术治疗移植肾输尿管梗阻2例  

Robot-assisted laparoscopic transplanted kidney collecting system-autologous ureter anastomosis in the treatment of transplanted kidney ureteral obstruction:a report of 2 cases

作　　者：张伟[1] 杨帆[1] 王禾[1] 张波[1] 李智斌 师文[3] 王娟英 张更 Zhang Wei;Yang Fan;Wang He;Zhang Bo;Li Zhibin;Shi Wen;Wang Juanying;Zhang Geng(Department of Urology,Tangdu Hospital,PLA Air Force Military Medical University,Xi'an 710038,China;Department of Transplantation Urology,Shaanci Provincial People's Hospital,Xi'an 710068,China;Department of Anesthesiology,Tangdu Hospital,PLA Air Force Military Medical University,Xi'an 710038,China)

机构地区：[1]中国人民解放军空军军医大学唐都医院泌尿外科,西安710038 [2]陕西省人民医院移植泌尿外科,西安710068 [3]中国人民解放军空军军医大学唐都医院麻醉手术科,西安710038

出　　处：《中华器官移植杂志》2025年第2期156-160,共5页Chinese Journal of Organ Transplantation

基　　金：陕西省重点研发计划项目(2023-YBSF-076)。

摘　　要：本文报告了中国人民解放军空军军医大学唐都医院2023年收治的2例复杂移植肾输尿管梗阻(ureteral obstruction,UO)受者的诊疗过程。移植肾输尿管梗阻是肾移植术后较为棘手的并发症,而输尿管梗阻的外科修复是解决这类问题的主要方法。本研究的2例均采用机器人辅助腹腔镜下(robot-assisted laparoscopic,RAL)移植肾集合系统-自体输尿管吻合术治疗,手术成功并顺利出院。2例受者术后随访6个月,移植肾形态及功能恢复良好,随访期内无积水复发、发热、疼痛、尿频、尿急等表现。该研究为复杂移植肾输尿管梗阻的诊治提供了新的思路。This article reports the diagnosis and treatment of two cases of complex ureteral obstruction(UO)in transplanted kidneys managed at Tangdu Hospital of Air Force Medical University of PLA in 2023.UO is a challenging complication following kidney transplantation,with surgical repair being the primary treatment approach.Both patients underwent robot-assisted laparoscopic(RAL)anastomosis of the transplanted kidney collecting system with the autologous ureter.The procedures were successfully performed,and both recipients were discharged without complications.During a six-month postoperative follow-up,the morphology and function of the transplanted kidneys remained stable,with no recurrence of hydronephrosis,fever,pain,urinary frequency,or urgency.This case report provides new insights into the diagnosis and surgical management of complex UO in kidney transplant recipients.

关 键 词：肾移植 输尿管梗阻 肾盏输尿管吻合术 肾盂输尿管吻合术 机器人辅助腹腔镜手术 

分 类 号：R699.2[医药卫生—泌尿科学]